06D2209093 CLIA NUMBER - CENTENNIAL VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 06D2209093
  • Facility Name: CENTENNIAL VALLEY PEDIATRICS
  • Facility Address: 469 STATE HIGHWAY 7, SUITE 300
    BROOMFIELD, CO
    ZIP 80023
  • Facility Phone: 303 666-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA S. SAMUELSON
  • NPI Number: 1447841903
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 06D2209093
LAB Type Physician Office
Facility Name CENTENNIAL VALLEY PEDIATRICS
Street 469 STATE HIGHWAY 7, SUITE 300
City BROOMFIELD
State CO
ZIP 80023
Phone 303 666-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director DR. LISA S. SAMUELSON

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This page was last updated on: 9/29/2025